Individual provider · Type 1 NPI

Ryan Raeburn

Mental Health Counselor · Lynnwood, WA

NPI number 1700216868 Active

Practice location

4807 196th St SW, Suite 220
Lynnwood, WA 98036-6430

Call (425) 835-5973 Map

Mailing address

PO Box 3810
Everett, WA 98213-8810

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC60385326 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1700216868

Ryan Raeburn's National Provider Identifier is 1700216868, issued on Nov 26, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lynnwood, WA. The record was last updated on Nov 26, 2013.